The patient is a 74-year-old female with generalized fatigue.
She is at the doctor's office for a follow-up visit.
Patient's chart:. Vital signs: all within normal ranges.
Medications: famotidine, duloxetine, lisinopril.
During a follow-up visit, the client diagnosed with fibromyalgia is concerned about always feeling tired.
Which response should the nurse make to this client?.
"You are fatigued because you sleep too many hours.”.
"Have you thought about getting a new mattress.”.
"Do you use electronics at bedtime.”.
"Your fatigue is most likely due to a sleep disturbance such as insomnia.”.
"Have you been worried about anything in particular?".
The Correct Answer is D
Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1000"]
Explanation
Step 1 is to convert the time from minutes to hours: 15 min ÷ 60 min/hr = 0.25 hr.
Step 2 is to calculate the rate: 250 ml ÷ 0.25 hr = 1000 ml/hr.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
An active lifestyle is generally not associated with an increased risk of cholelithiasis.
Choice B rationale:
Being female is a risk factor for cholelithiasis.
Choice C rationale:
Obesity is a well-known risk factor for cholelithiasis.
Choice D rationale:
A low-fat diet is generally not associated with an increased risk of cholelithiasis.
Choice E rationale:
Estrogen therapy can increase the risk of cholelithiasis.
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